성대구를 동반한 양성성대질환의 진단율 및 발성학적 특징

안철민,문고정,김미라,우원근,김성태 대한이비인후과학회 2003 대한이비인후과학회지 두경부외과학 Vol.46 No.3

환경관련 부서 공무원의 환경교육 분석 및 개선방안 연구

안철민,남영숙 한국교원대학교교육연구원 2006 敎員敎育 Vol.22 No.3

이 연구는 환경정책의 수립 및 집행을 담당하는 공무원의 환경교육에 관한 인식 및 교육훈련 실태를 조사 분석하여 공무원의 환경교육훈련 개선을 위한 기초 자료로서 활용할 수 있도록 하는데 그 목적이 있다. 연구방법은 문헌연구와 설문조사방법으로 진행되었으며, 조사 대상은 중앙 및 지방 환경관련부서에서 환경과 환경문제와 관련된 정책수립 및 업무를 수행하는 공무원 279명을 대상으로 하였다. 조사도구는 '환경문제에 대한 인식' 영역 4문항, '환경교육에 대한 인식' 영역 6문항, '환경교육훈련의 실태 및 문제점' 영역 13문항, '환경교육훈련의 개선방안' 영역 4문항 등 총 27개 문항으로 구성하였다. 이 연구를 통하여 얻어진 연구결과는 다음과 같다. 첫째, 환경문제에 대한 인식을 살펴보면 환경관련부서 공무원들은 전반적으로 환경문제 및 환경문제의심각성에 대한 인식 수준이 높았으며, 환경보전은 인간과 환경과의 조화를 통하여 이루어질 수 있다는 견해가 많았다. 둘째, 환경교육에 대한 인식 면에서는 공무원에 대한 환경교육이 매우 필요하다고 인식하고 있었으며 환경교육에 대한 참여 의지도 매우 높은 것으로 나타났으나 현실적으로는 공무원에 대한 환경교육이 제대로 이루어지고 있지 않다는 응답이 많이 나왔다. 셋째, 환경교육훈련의 실태 및 문제점에서는 환경교육을 받은 경험이 있는 공무원이 63.4%로 그 비중이 그다지 많지 않았으며 환경교육을 받은 기관으로는 교육훈련기관이 가장 높게 나타나 대부분 교육훈련기관을 통하여 환경교육을 받고 있는 것으로 나타났다. 환경교육훈련의 교육과정 및 내용에 대하여는 그다지 만족하고 있지 않는 것으로 나타났으며 그 이유로는 전문교육의 부족을 첫 순위로 뽑고 있어서 전문분야의 전문적인 교육프로 그램의 확대 · 신설이 필요함을 알 수 있다. 이상의 연구결과에 의거하여 환경행정의 원활한 수행을 위하여 공무원 환경교육을 제고시키기 위한 개선방안으로는 다음과 같다. 첫째, 환경관련부서 및 일반 공무원들의 충실한 환경교육을 위해서는 환경교육훈련기관 및 교육인원의 대폭적인 확대가 매우 필요하다. 둘째, 환경교육훈련의 교육과정 및 내용은 실제 업무에 적용 · 응용할 수 있는 실습, 체험 위주의 우수한 전문적인 교육 프로그램을 개발하여 환경관련부서 공무원의 전문성을 신장시킬 수 있도록 하여야 할 것이다. 셋째, 체계적이고 효과적인 환경교육을 위하여 환경교육을 종합적으로 통합ㆍ관리할 수 있는 전문적인 환경교육연구센터(가칭)의 설립이 필요하다 하겠다. The object of this research is to analyze the cognizance and state of environmental education of government officials who are in charge of forming and enforcing environmental policies, and using the data as a basis to improving environmental education and training. The research was conducted by documentary investigation and surveying, and the targets were 279 government officials working in environment-related authorities of the central and district governments. Documentary research functioned as a base and they were verified by experts of environmental education, according to the appropriate objects set by the researcher, and then a preliminary examination was conducted to modify, supplement and develop them. The questions that were used in the research were consisted of 27 questions; 4 questions on 'cognizance of environmental problems', 6 on 'cognizance of environmental education', 13 on 'current conditions and problems of environmental education', and 4 on 'reformation schemes of environmental education'. Outcomes that were derived from this research is as the following. First, the cognizance of government officials on environmental problems and its seriousness was high, and there were several opinions that conservation can be accomplished by a harmony of human beings and the environment. Second, many officials recognized environmental education as a very important matter and had strong will to participate in those, but in reality these educations weren't being operated enough. Third, the proportion of people that had received environmental education was only 63.4%, and the institution where they received the most education was the education training institution, and so it was revealed that most education was attained through education training institutions. The satisfaction about the curriculums and contents of the education wasn't very high. Based on the above outcomes, the reformation schemes of environmental education to raise the efficiency of environmental administrations, are as the following. First, the expansion of education facilities and educational personnel is needed to supply sufficient environmental education to government officials working in environment-related authorities. Second, the curriculum and contents of the education must be adjusted to practical affairs, by developing professional education programs including actual training and activities focussed on gaining experience, so it can be applied and put into use. In this way the specialty of the government officials being educated will increase to some extent. Third, to pursue more systematic and effective environmental education, a tentatively named, an Environmental Education Research Center must be established to supervise and unite the education system synthetically.

인후두이상감증환자에서 음성치료의 효과

안철민 대한이비인후과학회 1998 대한이비인후과학회지 두경부외과학 Vol.41 No.2

소아애성에 영향을 주는 환경에 대한 연구

안철민,박상준,이건영 대한후두음성언어의학회 1997 대한후두음성언어의학회지 Vol.8 No.2

The speech movements are acquired activity, not determined by instincts or by biologic inheritance either. The child listens to the sound from the surrounding persons, observes the speech movement of the people and tried to imitate them. Then the child acquires their specific phonation pattern. We guessed that the parents influences to the child are very important in the developing of the speech movements. Because the parents are first contact person to the baby. The recognition of parents about the voice changes in the child will be important too. And social environments such as kindergarden, school, friends contact with, can influence to the voice of the child. We investigated the state of the voice, parents influence and social environmental factor. In the bases of this study, we knew that the parents recognition about the voice changes of child, faulty vocal habits of child, social environmental factors influenced to the voice of child. And we thought we have to do our best for the early detection of voice changes and proper treatment.

음성장애환자의 음성치료 후 만족도 연구

안철민,신익서,신정은,Ahn, Cheol Min,Shin, Ik Seo,Shin, Jeong Eun 대한후두음성언어의학회 2016 대한후두음성언어의학회지 Vol.27 No.1

Background and Objectives : Voice therapy is proven to be effective, but patients are reluctant to receive the therapy when physicians recommend it. This phenomenon may due to patients'lack of trust in or low satisfaction level of the therapy. This study aimed to evaluate patients'satisfaction level after voice therapy and identify factors that could increase the satisfaction. Materials and Methods : First, the fraction of patients who were recommended voice therapy ahead and completed it was studied, and survey was conducted on those who finished ten voice therapy sessions. The patients'1) satisfaction level during the therapy, 2) satisfaction level about physician's explanation about the therapy, 3) willingness to recommend, 4) satisfaction level about the results were assessed, and was correlated with overall satisfaction level. In each category, patients' gender-, age-, and disease type-related differences were analyzed. Results : Patients under 19 years old were most satisfied during the voice therapy; patients above 40 years old showed statistically significantly higher satisfaction level regarding satisfaction with physician explanation about treatments and with treatment results compared to other ages groups. Patients above 40 also showed the highest willingness to recommend. 26.5% of patients either refused to or discontinued voice therapy. 84.3% were satisfied with treatment results. Considering variabilities among factors, patients'satisfaction with physician explanation about treatment and willingness to recommend had positive correlation. Conclusion : Though 26.3% of patients received voice therapy when physicians recommended, patients who completed the therapy were overall satisfied.

다제 내성 결핵의 치료

안철민 대한결핵 및 호흡기학회 1998 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.87 No.0

각시붕어 , Rhodeus uyekii 의 생식주기에 미치는 광주기 및 수온의 영향

안철민 한국어류학회 1995 韓國魚類學會誌 Vol.7 No.1

자연에서 3월 초순부터 6월 초순까지 산란기를 가지는 각시붕어, Rhodeus uyekii를 대상으로 이들의 생식주기 성립기구를 밝히고저 여러가지 광주기 및 수온 조건이 생식소의 활성과 퇴화 그리고 재성숙에 미치는 영향을 실험 적으로 조사한 결과는 다음과 같다. 춘계 생식소 활성화를 유도하는 환경요인은 수온상승이고 광주기는 영향을 미치지 않는 것으로 나타났으며, 이 시기의 임계수온은 8℃ 이상이었다. 생식소 퇴화요인으로는 하계 고수온이며,광주기의 영향은 없었다. 그리고 임계수온은 20℃에서 24℃ 사이에 존재하는 것으로 나타났다. 산란기 수온과 동일한 수온 범위가 존재하는 추계에 생식소가 성숙에 이르지 못하는 요인은 이 시기의 단일 광조건 때문이며, 다른 시기에는 나타나지 않았던 광주성의 발달을 볼 수 있었다. 추계 생식소 재성숙에 영향을 미치는 임계광주기는 12L과 13L 사이에 존재하며, 동계에서 춘계로 이행함에 따라 광주성은 사라지는 것으로 조사되었다. 이상의 결과에서 각시붕어의 성숙을 연중 제어할 수 있는 광과 수온범위는 수온은8℃에서 20℃, 광조건은 13L 이상으로 생각된다. Based on the reproductive cycle of Rhodeus uyekii, the reproductive control mechanism was examined under the several combinations of photoperiod and temperature regimes at different phases of their reproductive cycle. In early spring, the gonads developed rapidly under the warm temperature condition(above 8℃), regardless of the photoperiod. In late spring or early summer, gonads intensely regressed under the high temperature condition(above 24℃), regardless of the photoperiod. Thus, it is concluded that the spawning period of R. uyekii is initiated by the rising of water temperature in spring and is terminated by the high temperature in early summer. In autumn, the gonadal recrudescence occurs under the conditions of artificial long daylength with warm temperature(15L/9D, 12℃~20 ℃), whereas the gonads remain in the existing condition under the short daylength. Therefore, in autumn the gonadal recrudescence is prevented by the short daylength although the temperature is still in favorable condition. In bitterling, the responsiveness of the gonads to photoperiod varies clearly with seasons, which was declined during the winter but increased during the autumn. The critical photoperiod for maturation ranges 12~13 hours of light per day. The results indicate that the proper ranges of temperature and photoperiod for gonadal maturation of this species are from 8℃ to 20℃ and from 13L to 15L, respectively.

각시붕어 , Rhodeus uyekii 의 생식주기

안철민 한국어류학회 1995 韓國魚類學會誌 Vol.7 No.1

1991년 8월부터 1993년 7월까지 경상남도 김해군 상동면 매리마을의 낙동강 지류에서 채집된 한국 특산어인 각시붕어, Rhodeus uyekii를 대상으로 생식생태를 파악하기 위하여 연간 생식소숙도지수(GSI)와 난경조성, 산란관 길이 변화를 조사하였고, 이들 생식소 발달과정을 광학현미경적 방법에 의해 조사하였다. GSI는 수온이 상승하기 시작하는 2월부터 증가하기 시작하여 5월에 연중 최대값을 나타내고, 7월 부터 하강하여 8월에는 연중 최저값을 나타내었다. 이후 9월부터 11월까지 서서히 증가하다가 12월에는 일시적으로 증가를 멈추고 11월과 비슷한 수준을 유지하였다. 생식연주기는 7∼8월의 퇴화 및 휴지기, 9∼11월의 1차 성장기, 12월의 정체기, 1,2월의 2차 성장 및 성숙기, 3∼6월의 완숙 및 산란기 등 연속적인 주기로 구분할 수 있었으며, 산란성기는 4월 하순에서 5월이었다. The reproductive cycle of the bitterling, Rhodeus uyekii was studied to observe the annual variations of gonadosomatic index(GSI), size frequency distribution of egg, ovipositor length and histological changes of gonad. GSI began to increase from February when the water temperature started to increase, and reached the maximum value in May, whereas it began to decrease from July and reached the minimum value in August which in the highest water temperature season. It began to incerase again but showed low value from September to November. The GSI remained stable thereafter. Monthly changes in GSI, ovipositor length, frequency of egg diameter and gonadal histology showed that the annual reproductive cycle was classified into the following successive phases : primary growing phase from September to November, quiescent phase in December, secondary growing and mature phase from January to February, ripe and spawning phase from March to June, and recovery and resting phase from July to August.

Ambulatory Phonation Monitoring(APM)의 유용성

안철민,임혜진,김민수,정재호 대한이비인후과학회 2010 대한이비인후과학회지 두경부외과학 Vol.53 No.6

Background and ObjectivesZZThe use of voice can be a cause of common voice disorders but may also affect the course of treatment. The information of voice use has been limited by relying on the subjective patient self-report in the past. In this study, however, we tried to determine the effectiveness of ambulatory phonation monitoring, which can provide objective vocal use parameters such as phonation time, fundamental frequency and sound pressure level. Subjects and MethodZZFour subjects (2; normal, 2; vocal disease) were recorded with Ambulatory Phonation Monitor Model 3,200 (KayPENTAX) during a working day. Ambulatory Phonation Monitor (APM) is an unobtrusive, portable device consisting of a small accelerometer,a microprocessor and the APM software. All subjects were instructed to wear APM during the entire day of normal activities and write an activity diary according to time. ResultsZZAPM data displays 5 graphs which reveal important characteristics of each subject’s phonatory behavior throughout the day. The patient’s diary can provide the person’s schedule and the correlation between subject’s self recognition and the objective data analyzed by APM. ConclusionZZAPM is an overall useful device for measuring phonation parameters and evaluating voice behaviors in natural conditions. It can be used not only for the diagnosis of vocal diseases but also as a voice therapy for feedback on voice use. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:360-5

포스타 전시 발표 : 류마티스 ; 리스테리아 폐혈증과 동반된 전신성 홍반성 루푸스 1예

안철민,심재민,이근만,이상원,박민찬,용동은,박용범,이수곤 대한내과학회 2004 대한내과학회 추계학술대회 Vol.2004 No.1